HIGGINBOTHAM DENTAL GROUP, PLLC (NPI# 1710005384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710005384 |
| Entity Type | Organization |
| Organization Name | HIGGINBOTHAM DENTAL GROUP, PLLC |
| Other Organization Name | HIGGINBOTHAM FAMILY DENTAL |
| Practice Address |
3922 E Main St Ste D Blytheville AR 72315-6813 |
| Mailing Address |
1804 Old Greensboro Rd Bldg B Jonesboro AR 72405-0003 |
| Practice Telephone | 8707621331 |
| Mailing Telephone | 8703363732 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MISTI ROSS (INS DIRECTOR) |
| Authorized Official Telephone | 8703363732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3393 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 160743631 | 05 |
| Other Name | Type Code |
|---|---|
| Higginbotham Family Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457717381 | Higginbotham Dental Group, Pllc | Dentist | 113 Harbor Town Sq, Suite 203, Memphis, TN 38103-8890 | 2016-01-07 |
| 1205211976 | Higginbotham Dental Group, Pllc | Dentist | 1804 Old Greensboro Rd Ste D, Jonesboro, AR 72405-2076 | 2015-07-23 |
| 1770848681 | Higginbotham Dental Group, Pllc | Dentist | 255 W Broadway St, West Memphis, AR 72301-3903 | 2012-07-06 |
| 1912274630 | Higginbotham Dental Group, Pllc | Dentist | 2200 W Kingshighway, Paragould, AR 72450-3917 | 2011-11-23 |
| 1124263579 | Higginbotham Dental Group, Pllc | Dentist | 321 Southwest Dr, Jonesboro, AR 72401-5854 | 2008-12-12 |
| 1902392202 | Higginbotham Dental Group, Pllc | Dentist | 14810 Cantrell Rd Ste 150, Little Rock, AR 72223-4681 | 2018-07-10 |
| 1366797953 | Higginbotham Dental Group, Pllc | Dentist | 103 1st St, Kennett, MO 63857-2051 | 2012-07-19 |
| Street Address |
3922 E MAIN ST STE D |
| City | BLYTHEVILLE |
| State | AR |
| Zip Code | 72315-6813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770055923 | Gosnell Drugs Inc. | Pharmacy | 134 Bevill Ave, Gosnell, AR 72315 | 2018-12-28 |
| 1770938441 | Kay Chan Powell | Optometrist | 527 N6th St, Ste A, Blythevile, AR 72315 | 2016-04-29 |
| 1124417142 | Victoria Jacoby | Nurse Practitioner | 1521 N. 10th Street, Suite A, Blytheville, AR 72315 | 2015-01-14 |
| 1154736635 | Hanna Kirk | Case Manager/Care Coordinator | 829 East Main St, Blytheville, AR 72315 | 2014-06-24 |
| 1700207909 | Hannah Browning | Speech-Language Pathologist | 4555 North State Highway 137, Blytheville, AR 72315 | 2013-12-16 |
| 1164859286 | Valarie Ranae Oldham | Physical Therapist | 827 E Main, Suite B, Blytheville, AR 72315 | 2013-10-03 |
| 1013350339 | Air Evac Ems Inc. | Ambulance | 1021 Highland Street, Blytheville, AR 72315 | 2013-04-17 |
| 1962707158 | Diffine Family Practice Pllc | Family Medicine | 1100 Medical Plaza Drive South, Suite C, Blytheville, AR 72315 | 2011-01-19 |
| 1447451984 | Diabetes Institute Inc | Durable Medical Equipment & Medical Supplies | 623 W Moultrie, Blytheville, AR 72315 | 2007-05-31 |
| 1043426109 | Connie Bromley | Social Worker | 514 Chickasawba, Blytheville, AR 72315 | 2007-05-15 |
| Find all providers in zip 72315 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730202037 | Terra Morris Hall | Dentist | 1214 W Mchaney Dr, Suite B, Blytheville, AR 72315-4932 | 2007-04-09 |
| 1508984188 | Michael T Higginbotham | Dentist | 3710 E. Main, Suite K, Blytheville, AR 72315 | 2007-03-26 |
| 1811022692 | Thomas E. Westbrook Jr. | Dentist | 507 Hutson St, Blytheville, AR 72315-2415 | 2007-02-22 |
| 1417002890 | James Anthony Hess | Dentist | 501 N 6th St, Blytheville, AR 72315-2407 | 2007-01-24 |
| 1841356987 | James Michael Williams | Dentist | 525 N 2nd St, Blytheville, AR 72315-2101 | 2006-12-30 |
| 1417976275 | Van Parker | Dentist | 522 Lumerate St, Blytheville, AR 72315-2418 | 2006-07-19 |
| 1558854588 | Alayna Hattenhauer | Dentist | 507 Hutson St, Blytheville, AR 72315-2415 | 2018-06-13 |
| 1255851846 | Gray Hodge | Dentist | 501 N 6th St, Blytheville, AR 72315-2407 | 2017-06-23 |
| 1063932655 | Chase Winston Hodge | Dentist | 501 N 6th St, Blytheville, AR 72315-2407 | 2017-06-23 |
| 1982805768 | James A Hess Dds | Dentist | 501 N 6th St, Blytheville, AR 72315-2407 | 2007-05-30 |
| Find all providers in BLYTHEVILLE | ||||
| City | BLYTHEVILLE |
| Zip Code | 72315 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.